外科修补术

78 cases, among them the lobectomy and pneumonnectomy 42 cases, pulmonary bulla rection and repair (include the video-assisted thoracic surgery, VATS), the lung volume reduction 10 cases, the oesophagus surgical operation 16 cases, the mediastinal operation 2 cases, the pyothorax operations 4 cases, and the other thoracic surgical 4 cases.

78例胸外科手术，其中肺叶、全肺切除手术42例，肺大疱切除修补（包括电视胸腔镜，VATS）、肺减容手术10例，食管手术16例，纵隔手术2例，脓胸皮质剥脱术4例，其他手术4例。

Key words:decompressive craniectomy;cranioplasty;Polyethylene;Medpor;surgery

去骨瓣减压术；颅骨修补；高密度聚乙烯多孔材料；Medpor；外科手术

objective to investigate the clinical characteristics and the surgical treatment for perforation of gastric cancer.methods we summarized 22 cases suffering from perforation of gastric cancer in our hospital,6 were treated with repair of perforatlon and gastrojejunostomy at the same time,8 with partial gastrectomy,8 wth radical gastrectomy for gastric cancer（d2,d3）,and positive treatment such.as intraperitoneal chemothrapy to the patients above.results the life expectancy of patients treated with repair of perforation,partial gastrectomy or radical gastrectomy for gastric cancer was 6,29.2 and 37.3months.conclusion reasonably select surgery methoty and positive treatment are keys to prolong the survival time.

目的 探讨胃癌穿孔的临床特点及外科治疗方法。方法对22例胃癌穿孔病人实施不同手术方式治疗。其中行穿孔修补加胃肠吻合术6例，姑息性胃癌切除术8例，胃癌根治术（d2，d3）8例，后两者术后均行腹腔化疗等综合治疗。结果穿孔修补加胃肠吻合术、姑息性胃癌切除术、胃癌根治术术后平均生存期分别为6个月、29.2个月、37.3个月。结论合理选择术式，综合治疗，是延长病人生存期的关键。

The conclusion did not have the tensity patching technique to maintain the inguen normal dissection structure, enhanced curing rate, reduced recurring rate, suited to the old age patient.

无张力疝修补术保持了腹股沟的正常解剖结构，提高了治愈率，降低了复发率，适合于老年腹股沟疝患者。疝；腹股沟；外科手术；人工补片

Because the myringoplasty is microsurgery so the skilled operation technique and microscope must be necessary for the rate of the success.

提出鼓膜修补术是属显微耳外科手术，要具备熟练的技术并在显微镜下操作，方能提高手术成功率。

As a result, at least one large trial has concluded that laparoscopy should remain the province of specialists, with open procedures the approach of choice for most general surgeons, although it is unclear exactly what proportion of hernia repairs are performed laparoscopically, most current estimates are around 15%.

因此，在一个大型临床试验中，研究人员认为腹腔镜手术应该是专家的专利，而对于大多数外科医生，开放式手术才是最佳的选择。目前尚不清楚在外科手术中究竟有多少患者采用了腹腔镜疝修补术，据估计可能达到15%左右。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。